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Organization
ARIZONA FOOT AND ANKLE SURGERY LLC
Active
Organization
ARIZONA FOOT AND ANKLE SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHANAD ELTAHIR DPM (OWNER)
(703) 501-0283
Entity
Organization
Contact information
Practice address
1601 N TUCSON BLVD STE 15, TUCSON, AZ 85716-3406
(520) 209-1919
Mailing address
1601 N TUCSON BLVD STE 15, TUCSON, AZ 85716-3406
(520) 209-1919
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
213ES0131X
Foot Surgery Podiatrist
—
NULL
213ES0131X
Foot Surgery Podiatrist
—
—
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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